Coronary to Bronchial Artery Communication
Journal of the Korean Radiological Society
;
: 533-537, 2000.
Article
in Korean
| WPRIM
| ID: wpr-49734
ABSTRACT
PURPOSE:
To analyze the cineangiographic appearance and determine the clinical importance of coronary-to-bronchial artery communication. MATERIALS ANDMETHODS:
The coronary cineangiograms of 4,620 patients were reviewed, and 12 cases of coronary-to-bronchial artery communications were observed in 10 patients (MF=64; mean age, 48.4 years). The cineangiographic findings were analyzed and correlated with these of other imaging studies [perfusion scan (n=5), computed tomographic angiography (CTA) (n=4), conventional chest computed tomography (CT) (n=1), and conventional angiography (n=6)].RESULT:
Cineangiography revealed that hypertrophied branches of the coronary artery communicated with bronchial arteries in which adjacent hypervascular staining, was observed, and which were accompanied by pulmonary shunts (n=9). The underlying diseases identified among the ten patients were Takayasu arteritis (n=5), chronic inflammatory pulmonary disease (n=3), pulmonary thromboembolism (n=1), and or newly diagnosed pulmonary tuberculosis (n=1). The lung fields supplied by coronary-to-bronchial communication showed close correlation with the territories of perfusion defects, decreased pulmonary vascularity, or inflammatory lesions revealed by other imaging studies.CONCLUSION:
Coronary-to-bronchial artery communication can present as a secondary result of occlusive disease of the pulmonary arteries or chronic pulmonary inflammation, and in patients with hemoptysis involving, for example, incomplete embolization or myocardiac infarction, it may be problematic.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Perfusion
/
Pneumonia
/
Arteries
/
Pulmonary Artery
/
Pulmonary Embolism
/
Thorax
/
Tuberculosis, Pulmonary
/
Bronchial Arteries
/
Cineangiography
/
Angiography
Type of study:
Prognostic study
Limits:
Humans
Language:
Korean
Journal:
Journal of the Korean Radiological Society
Year:
2000
Type:
Article
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